Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $15.14	Facility		$12.88	$12.88	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.49 / $26.30	Professional		$12.88	$15.49	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $79.43	Facility		$32.36	$32.36	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $25.12	Professional		$21.38	$21.38	$25.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $229.09	Professional		$158.49	$229.09	$229.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $26.30 / $39.81	Facility		$13.80	$26.30	$39.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $31.62	Professional		$12.88	$15.85	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.88	Professional		$21.38	$21.38	$21.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $25.12 / $39.81	Facility		$13.80	$25.12	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $25.12	Professional		$21.38	$21.38	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $21.38 / $32.36	Facility		$10.72	$21.38	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.38 / $21.38	Professional		$11.75	$17.38	$21.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $32.36	Professional		$22.39	$32.36	$32.36